| NPI | 1700873411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHIE JERRY CHAPMAN Administrator 256-234-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12684) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-02-05 |